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Pain with menses that is incapacitating, missing school or work, may be secumdary to a condition called endometriosis.

In the abscence of any physical findings i usually recommend bcp for at least 3 mo plus Naproxen if no improvement occurs then i move to recommend laparoscopy for the diagnosis and treatment of endometriosis. The loose stools are usually associated with IBS and will need antispamo.

In brief:
Dysmenorrhea

Pain with menses that is incapacitating, missing school or work, may be secumdary to a condition called endometriosis.

In the abscence of any physical findings i usually recommend bcp for at least 3 mo plus Naproxen if no improvement occurs then i move to recommend laparoscopy for the diagnosis and treatment of endometriosis. The loose stools are usually associated with IBS and will need antispamo.
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